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General NPI Number Information
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NPI Number | 1558274498
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Entity Type | Organization
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Legal Business Name | EMPOWERED CHOICES LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 3510 N 9TH ST LOT 175
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City | CARTER LAKE
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State | IA
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Zip | 51510-1350
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Country | US
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Telephone | 402-482-8622
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Fax | 402-982-4099
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Provider Business Mailing Address
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Address Line | 3510 N 9TH ST LOT 175
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City | CARTER LAKE
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State | IA
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Zip | 51510-1350
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Country | US
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Telephone | 402-482-8622
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Fax | 402-982-4099
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. CRYSTAL NICOLE EVERETT
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Credential | RN
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Telephone | 402-671-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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